NPI | 1265606248 |
---|---|
Doing Business As | SUN RAY FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | TRENT MITCHEL ANDERSON Owner/President 651-353-6651 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D11423) |
Enumeration Date | 2008-04-21 |
Last Update Date | 2008-04-21 |